April 2010
Volume 51, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2010
Refractive Outcome and Complications of Phacoemulsification in Eyes With Short Axial Length in Korea
Author Affiliations & Notes
  • R. Jun
    Ophthalmology, Ewha Womans Univ Mokdong Hosp, Seoul, Republic of Korea
  • Y.-E. Lee
    Ophthalmology, Ewha Womans Univ Mokdong Hosp, Seoul, Republic of Korea
  • Footnotes
    Commercial Relationships  R. Jun, None; Y.-E. Lee, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science April 2010, Vol.51, 5414. doi:
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      R. Jun, Y.-E. Lee; Refractive Outcome and Complications of Phacoemulsification in Eyes With Short Axial Length in Korea. Invest. Ophthalmol. Vis. Sci. 2010;51(13):5414.

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Abstract

Purpose: : To evaluate the refractive outcome and complications of phacoemuldification in eyes with short axial length in Korea.

Methods: : A retrospective analysis was performed on 57 eyes of 50 patients (axial length < 22.0mm), 50 eyes of 41patients( 22.0mm ≤ axial length < 26.0mm ) who had undergone cataract surgery. IOL power was calculated with the SRK II, SRK/T, Binkhorst, Holladay I and Hoffer Q formula. The differences between the predicted refraction and the actual refraction were compared and analyzed. The intraoperative and postoperative complications were evaluated.

Results: : The Binkhorst, Holladay I, Hoffer Q and SRK/T have similar predictive accuracies and the SRK II has lower predictive accuracy in eyes with short axial length. Hyperopic shift tends to occur with SRK II in eyes with short axial length and with Binkhorst, Holladay I and Hoffer Q in eyes with normal axial length. There were more postoperative complications such as corneal edema, postoperative anterior chamber inflammation in eyes with short axial length. In eyes with short axial length, preoperative predicted IOL power showed a tendency to be hyperopic and less accurate with SRK II and more accurate with Binkhorst, Holladay I, Hoffer Q and SRK/T.

Conclusions: : In eyes woth short axial length in Korea, preoperative predicted IOL power showed a tendency to be hyperopic and less accurate with SRK II and more accurate with Binkhorst, Holladay I, Hoffer Q and SRK/T. There were more postoperative complications in eyes with short axial length.

Keywords: treatment outcomes of cataract surgery • intraocular lens • cataract 
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